Individual
BRIAN ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3350 MAIN ST, SPRINGFIELD, MA 01107-1112
(413) 794-9175
Mailing address
86 SALEM RD, LONGMEADOW, MA 01106-1624
(413) 794-9175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74050
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080137
—
MA
Enumeration date
09/23/2006
Last updated
07/08/2007
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